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Urology (Expert Forum)
Unusual Penis Pain
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Unusual Penis Pain
by madmax8989, Nov 05, 2003 12:00AM
A little less than 2 weeks ago, I was carrying a heavy motor and trying to open a door at the same time. Later, that evening I noticed that I had a pain while urinating. It is not a burning sensation. If you are a male then you'll understand what I'm about to say. While urinating, you push the urine out and then "technically" you lift up to release that last bit of urine from the penis. Well, when I lift up, that's when I feel the pain. I immediately starting flushing my system with juices in hopes of stopping the problem, however, it still remains. I am not urinating any more than usual. I have had the same sex partner for 2 years and we are very active; however, now when I ejaculate, I feel a slight pain as I get closer to climax, but when I do climax, it doesn't feel regular. I have also had instances when the semen will be released before I feel the climax and then more when I feel the climax. I have no pains with erection or intercourse, only urinating and climax. The pain feels like a muscle pain. Could I have pulled a muscle of some kind? or is this an infection? thanks for the help!
Doctor's Answer
by Kevin Pho, MD, Nov 09, 2003 12:00AM
, Nov 09, 2003 12:00AM
I would first make sure an infection isn't present. That would include a urinalysis and a genprobe looking for gonorrhea and chlamydia.
If that is negative, then tests for prostate and scrotal infections can be considered (i.e. with a digital rectal exam and possible scrotal ultrasound looking for epididymitis).
Anatomical abnormalities such as urethral strictures or polyps can also cause pain, and this can be evaluated by a cystoscopy.
In any case, I would suggest a referral to a urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
If that is negative, then tests for prostate and scrotal infections can be considered (i.e. with a digital rectal exam and possible scrotal ultrasound looking for epididymitis).
Anatomical abnormalities such as urethral strictures or polyps can also cause pain, and this can be evaluated by a cystoscopy.
In any case, I would suggest a referral to a urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
